~11 spots leftby Dec 2025

Tranexamic Acid for Surgical Bleeding Control

Recruiting in Palo Alto (17 mi)
Overseen byBrian Kinard, DMD, MD
Age: Any Age
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Phase 4
Waitlist Available
Sponsor: University of Alabama at Birmingham
No Placebo Group
Prior Safety Data
Approved in 5 Jurisdictions

Trial Summary

What is the purpose of this trial?This prospective study will analyze the need for deliberate hypotensive anesthesia (DHA) during orthognathic surgery when tranexamic acid (TXA) is administered. DHA has been proven to be effective although it comes with multiple risks related to organ hypoperfusion including kidney injury, stroke, and cardiac ischemia. Therefore, it may be potentially safer for patients to avoid deliberate hypotensive anesthesia if TXA alone adequately controls blood loss and provides adequate surgical site visualization.

Eligibility Criteria

This trial is for individuals undergoing bimaxillary orthognathic surgery at UAB Highlands Hospital. It's not suitable for those with high blood pressure, heart issues, bleeding disorders, or who can't safely receive tranexamic acid (TXA).

Inclusion Criteria

I had jaw surgery at UAB Highlands Hospital.

Exclusion Criteria

I have a bleeding disorder.
I have a history of high blood pressure or heart issues.
I cannot take TXA due to medical reasons.

Participant Groups

The study is testing if using TXA during jaw surgery can control blood loss well enough to avoid the need for deliberately lowering blood pressure—anesthesia practice that reduces bleeding but has risks like kidney and heart problems.
1Treatment groups
Experimental Treatment
Group I: Patients Receiving Tranexamic Acid with Avoidance of Hypotensive AnesthesiaExperimental Treatment2 Interventions

Tranexamic Acid is already approved in United States, European Union, Canada, Japan, Australia for the following indications:

🇺🇸 Approved in United States as Tranexamic Acid for:
  • Heavy menstrual bleeding
  • Prevention of excessive bleeding during surgeries
🇪🇺 Approved in European Union as Tranexamic Acid for:
  • Heavy menstrual bleeding
  • Prevention of excessive bleeding during surgeries
  • Hereditary angioedema
🇨🇦 Approved in Canada as Tranexamic Acid for:
  • Heavy menstrual bleeding
  • Prevention of excessive bleeding during surgeries
🇯🇵 Approved in Japan as Tranexamic Acid for:
  • Heavy menstrual bleeding
  • Prevention of excessive bleeding during surgeries
🇦🇺 Approved in Australia as Tranexamic Acid for:
  • Heavy menstrual bleeding
  • Prevention of excessive bleeding during surgeries

Find a Clinic Near You

Research Locations NearbySelect from list below to view details:
UAB Hospital-HighlandsBirmingham, AL
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Who Is Running the Clinical Trial?

University of Alabama at BirminghamLead Sponsor

References